HomeMy WebLinkAboutCHARLOTTE AVE, 632
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Applicant: NORTHWEST FIREPLACE & GAS SYS 373-4631
4207 liJHEATON WAY. SUITE AElREr1ERTON l,.,JA 98~nO
BRE-MERTON PERMIT CENTER
286 4th Streetg 8remertDn~ ~A 98337
Phone: (360) 478-5275 PAX; {360) 4.78--5278 I
BUILDING PERMIT I
Permit' Nc,:
Status:
Applied~
ISBued:
Exp i. res::
99-07S4
ISSUED
12/15/1 <;)(19
1.2/1.5/1999
06/1212000
Job Addr: 632 N CHARLOTTE AVE
L.ocati.on:
Parcel No;
Owner: NAGAMATSU~ CRAIG K 478-0922
632 N CHARLOTTE AVE BREMERTON WA 98312
Contractor: NORTHWEST FIREPLACE & GAS SYS 373-4631 lie I: NORTHFG044KG Exp: 05/07/2000
4207 WHEATON WAY~ SUITE ABREMERTON WA 98310
Subcontr:
Deae: 120 GAL PROPANE TANK. FREE-STANDING GAS STOVE. GP
*********************************************************************************************
Valuation * Permit FeeB~ 32n30 Total CalClllated Fee: 32~30
.00 * Plan Check Fees: .00 Addi.tional Fees: .00
* Other Fess: .00 Total Permit Fee: 32.30
*********************************************************************************************
MECHANICAL/PL.UMBING FIXTURES..- MECH-Wood/Pellet Stove...."..: 1 MECH..Gas Piping (out lets).. ..: 2
MECH-Tanks up to 200 gal...: 1
*********************************************************************************************
This permit shall become null and void if the building or work authorized by this permit is not commenced within
180 days from the date of such permit, or if this building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
NOTICE .- It is the responsibility of the permit holder, not the City of Bremerton or Building Official to Bee
to it that required inspections are made. The permit holder must notify the Building Official when ready for
inspections. Failure of the permit holder to notify the Building Official of required inspections may result
in the stoppage of the work until such time that the permit holder can substantiate to the building official
that the concealed l~ork meets or exceeds code requirements. Any demolition, testing, or financial burden shall
be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City
against any and all responsibility or liability conDected with the construction,
I hereby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified herein
or not. 1 Te anting of a permit does not presume to give authorit.y to violate or cancel the pr.oviSions of
any ot~ eta e or local law regulating construction or the performance of construction. .
Signature' .' ____~-~- _ _ _ __~__ Date:___.1J.e.c.",J2..~_Lt!__
I certify ~\I am exempt from the requir.,ents of the state contractor's registration law, under
Section 3, Chap~er 126, laws of 1967.
;~:;~~:;*-'-;"*'**"*'-'-;;*-'-;;iT-~------------ oa[te: '\---------~-----.::;---~----
PermIt Center'."'-AppnJvE"::d By:..VLLL..".... Date:........".. ..c;t:::::..:'::::.../..,,::-:,.,o. .- -{ 4
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BRrJ'ME~T'aN PERM X T CENTER
286 4th Street~ Bremertong WA 98337
Phone: (360) 478-5275 FAX:: (360) 478-5278
[3u i, 'I. d 1. nq
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Per~it No:
~tatus:
Issued:
Expires:
99-0754
ISSUED
]2/15/1999
06/12/2000
Job Address:
Location:
Assr Acct No:
632 N CHARLOTTE AVE
I:~E(;JU J f~E:D
INS PEe T ION S
Item: 02701 FINAL--FIRE
Item: 01400 MECHANICAL
Dept: FIRE
Dept: SLDG
Division:
,,,. , .
J1V1Blon:
"
*****************~t************~**************************************~*********
TESTING: Must be recognized by the Washington Association of Building Officia
SPECINSP: Must be registered with the State of WA
ST OF WA: State of WA Dept. of Labor and Industries 478~4921 ~
HEAI..,,"j"H:: Brem('::~y't on/I, 1. t sap Hea, I. t h D:l *:,;t Y' 1. ct 4'7n"'''~:)~?~J5
ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH TH
PERMIT CENTER. (360) 4'78-5275.
************~*****************************************************************
Pf:lY'mit f"'IC~ld'Y'"B ~ Z ~~ j) 11
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MECHANICAL............
......0
PLUMIUNGd
.. ..... .... ..,
. ... .
/ItA-
Contractor: N ...J-\
efl n uJt"S \Ye. <:..
Address: L/;ZD7 whc..c..-tcrt w'(
~ re (VI ~(' tD rJ W~ ~- CJ" '3 I 0
Type of Fucl:
Occupancy:
Electric
Residen tial
Gas
Commercial
Site Address:
~32
AJ eM".. ( bile
Phone
313-
Contractor's License ~umber/Expiration Date:
'~
x
~
I RANGE
WOOD/PELLETl>}pXW.??i\:?"'fIRE;r;C~ J
GAS FURc"-LKE ~:
TYPE OF EQUIPMENT
No.
TYPE OF FIXTURE
No.
CONVERSION BURNER btu:
I UNIT HEATER btll:
BOILER btu:
X GAS PIPING
EVAPORATION COOLERS btu:
I :\C UNIT btu:
HEAT PU?vIP btu:
REHE_\T BOX btu:
A1R H:\NDLING UNIT btu:
EXH"\l'ST E\1"iS
.....+.
\..-
WA. TER CLOSET
BATHTUB
L\ VATORY (bath sink)
SHO\'V"ER
KITCHEN SINK
D1SHW_-\SHER
L\UNDRY TRA'{
I CLOTHES WASHER
WATER HEATER
URI~L\L
DRINKING FOUNT-\IN
FLOOR SINK OR DRAIN
SLOP SINK
\\',\TER PIPING & ALTERATION
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LW/N SPRINKLER SYSTE'v1
. S\v'L'v[\IING POOL
I BLDG. SEWER: (mobile/moved house)
ROOF DRAINS
I
I
I
I
I
I
I
I
I
.'"
1Li\J'iGE HOOD (residential)
RANGE HOOD (commercial)
CLOTHES DRYER
I
I INCIl'-SEIL\ TOR
I
DUCT "-\LTERATION
TAN K.S type: SJ, ,_ -'. fA ^
.. "I. ....,-..'.A \I .A'\.U~
REFRIGER:\110N UNIT
OTHER:
\'7('\ crirw
\;
OTHER:
- 3vdJ&-
:3 d-c
y[ECI-L\l'\JICAL FEES:
PLUMBING FEES:
CITY SURCHARGE:
TOTAL FEES:
,\PPLlCANTSSIGNATURE, ~f\7~
/ -
DATE: /:,?- f3-rr
,... \ 1\ r r.....
\ "'\ f'" t . 1:\ l'
BltEMElll'ON BUILDING DEI)Altl'MEN'I'
I)lwubillg/Mcchanlcal Insllcctioll Uellort
Addrcss:
Contrnctor:
I)enllit Number:
OWllcr:-f\ a.
Ilhollc: .
Undc:r le!lt (1 OI~~.U~!.}J...!'!i'-!.~~~) Prol~r_~i_~-.!.'IL~ support
12 ~ JJ1_~l'~!..'~.l~~r..~I.~ wl!5..'.l undc:rgrollf)(l Co~_~<:~!~rar~_I_~I!.<:,!~,leToun,1 or withih 6~ of eart).
GrolllUl-joillt IIl1ium Jlwlrihilc,l in c.eruin 1000tiom nllshill~S not alloW'e,1 in collc.eak,1 ueu
COMMENTS:
GAS PIPING APPROVED:___~~_l- - J-01-
FURNACE
t\:f!~!!:!:.aEuN:1"s~l~i~~_~1Ill o_,_~_ile ~!~!.I!....a.~~-'.!~'pr_~~t
Ckullnoc to combustihk, Ve~~~!!.Ii.: ckaunc.e to comhusrihb
-----"
Ve.I~i.!:i-'~~..'-'.rportl collllectiOlIS Vent tcrmin...tioll
Combustion air C}-'}IIl~I<J:: 1i'_~~ndlo~Ef;Jtc:.!l'le!l as rcquiw:l
Gas ,hut-()ff wid.ill 3' Pi.lot ckvalexl off Door ~!Ji.arllgc
-------
Ducts: she & "'pporrJi",ulatw wlren re'luirexI Return ;air
COMMENTS:
FURNACE APPROVED:
MISC. APPLIANCES
M:J.,_~f!_<:.~~'.!'..c:r', 'l~cifiCltions 011 site ~-'~~-'-I.!....aC-CeS~_~Il'l'_ort
Clearance to comhllstibb Vefll}_flli-=--~!!_~!~c.e ~o com.bu8Iibks
------------_.
VCllt ~iz~'_lb & s~.rl'ort/collncctions VeJ1( termillation
------
Combustion air C_~_"lf)c:Y: liner afl(Uoc sepu".te flues a~ reqllired
Gu shut-off witl.ill 3' Woo~l '_tove & (j~I:aces: proper hearth
W(){)(l ~tov~.:...EPA ;a1'E.~~ g_", log~: u_~c:.~~~(-Qrr
W(){)(t stov~ & fi~~0C8: li~t fiuing doors Ga~ shut-ofT witllin 3'
COMMENTS:
MISC. APPUANCES APPROVED:
?f
1'1.,'- 17v 1f
WATER DEATER
M_a'\llfacture~fiCl~ions on site Loalio~!...~~_'~..rport
Clearallle to comlmstibks Vell~i~Ij): cleaUllle to comhustibks
Vellt si1.h~~~.J.>l)ortlco,~i~~ Vellt termination
--~--~----
u,mbustioll air C~hll~~~.JJor ~nte flu~ all requircxl
Gas ~hut-()ff within 3' Pilot c:lcvar~rr f1~0~a.?ge
Gate valve on coM war.er ~ul'J.>.1y Helicf valve ,lnhle(f to olusi,le
--.--------.
Coppet' to.galvalli~ co~u)C:ction. Ullions Oil watc~pes
Seismic stup
COMMENTS:
WATER HEATER APPROVED:
ALL 'fORK UNDI~l TIllS ItER)D1.' AI...IIOVElJ:-j
lJ-~11,-11
BUILDING ~E:RMIT
~~
AI
3194
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
IJs:>
$ 3/ 'il / $
SITE ADDRESS I LOCATION (;' 32
OWNER'S NAME C. ,$..t"\.r?r-
,L
BLDG, DEPT. VALUE
~
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
/~~".;J. ?-J? d
ADDRESS
CONTRACTOR
$ y~ ::,-6
~
S_5~.s5
PHONE
STATE CONTRACTOR'S L1C. #
ADDRESS
~ RESIDENCE D BUSINESS D OTHER D NEW D REPAIR
PLANNING I ZONING
FIRE ZONE
PHONE
REMODEL D ADDITION
D DEMOLISH
STORIES
OCCUPANCY
THIS PERMIT ISSUE?:~~~~:Jc;;;~:f:- -2:C;- ~
L/
~ / cr':~
INSPECTIONS REQUIRED: Foundation~
Framing D
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
FINAL ~~\
Plumbing D
Electrical D ' Wallboard D
SEPERA'l'E PERHI'l'S ARB REOUIRED FOR ELECTRICAL, pr.1JMBrrm A.Nn r.mr:H,Il:f'nr.!i.T.
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME PPROVED' APPROVED
.
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
.
Building Inspector
r
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCC8PYING BUILD1~G (/_
OWNER'S SIGNATURE . - BY (, ~ 7 ---r:-~ dVL
b? ~ Authorize6ii!P
BUILDING DEPT. ~
,
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(;.:{V ././. I (~/~VI';; 0-
,)~. /
Curb, Gulter &
Sidewalk Combinations
Slabs
Foundations
Orivev.rays
e
....
a~-4---
J ..iJ ,. !/
BIlliNG FORMQ Cc;tyj~,I...,r-'''--t
Sea \Nalls
Sideviolks
Curb & Gut1er
If"'i:, ll"l'lt, ~~!f1\\ (J@i' O. '1l'~ ~
"tJi .ill,.Ii, .a '-i2J "l... 'lJ J!. lI.-j!
S:r<.TYDER Al\<!) SOWS
erne!lt
Post Office Box 291
Belfoir,. Wash, 98528
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Phone 275-3325
Date
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